Individual
MR. ARIEL CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4608 S ASHLAND AVE, CHICAGO, IL 60609
(773) 927-7573
(773) 927-7382
Mailing address
PO BOX 597202, CHICAGO, IL 60659
(773) 927-7573
(773) 927-7382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036054596
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054596
—
IL
01
—
21606887
BCBS
IL
01
—
363306485
TAX ID
—
Enumeration date
11/14/2006
Last updated
04/30/2010
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